NICU Graduates: The Role of the Allied Health Team in Follow-Up

Pediatr Ann. 2018 Apr 1;47(4):e165-e171. doi: 10.3928/19382359-20180325-02.

Abstract

Infants who graduate from the neonatal intensive care unit, including those infants born preterm and/or with brain injury, are at increased risk of long-term neurodevelopmental impairments. The developmental allied health team, consisting of physical therapy, occupational therapy, and speech pathology, is crucial in early evaluation of gross motor, fine motor, feeding, and language development. Surveillance of neurodevelopment in the first year of life is essential to ensure early detection of specific developmental delays and impairments, and to ensure timely referral for early intervention. Early intervention is not only important in optimizing long-term outcomes for the child, but it also plays an important role in enhancing the parent-child relationship and parental well-being. In this review, we discuss the role of the developmental allied health team in the follow-up of high-risk infants, identify key assessment tools used in early neurodevelopmental surveillance, and provide recommendations regarding referral to intervention programs to optimize child and family outcomes. [Pediatr Ann. 2018;47(4):e165-e171.].

Publication types

  • Review

MeSH terms

  • Aftercare / methods*
  • Allied Health Personnel*
  • Child Development
  • Developmental Disabilities / diagnosis*
  • Developmental Disabilities / therapy
  • Humans
  • Infant
  • Infant, Newborn
  • Infant, Premature
  • Intensive Care Units, Neonatal
  • Intensive Care, Neonatal
  • Patient Care Team*
  • Patient Discharge
  • Physician's Role*
  • Risk Assessment / methods